- SD OCT is remarkably useful in myriad retinal and optic nerve disorders but until recently, its use has been limited to cooperative children and adults.
- The new iVue SD OCT allows examination of patients who cannot be maneuvered into the standard chin and head rest.
- Infants with reduced vision and/retinal lesions can now be evaluated with the iVue to help differentiate those with functional amblyopia from those with structural defects.
- This week’s series begins with an anisometropic amblyopic child who has widespread medullation in the “amblyopic” eye.
- The SD OCT unexpectedly revealed an abnormal photoreceptor integrity line (PIL) in the amblyopic eye indicating a structural deficit responsible for the “amblyopia” and that likely precludes patching as a viable option.